비골 외과 절제술을 통한 족관절 또는 경골거골종골간 관절고정술

정영기,유정한,박용욱,김진섭,표동철,Chung, Young-Ki,Yoo, Jung-Han,Park, Yong-Wook,Kim, Jin-Sub,Pyo, Dong-Cheol 대한족부족관절학회 1997 대한족부족관절학회지 Vol.1 No.1

A variety of surgical approach for ankle and tibiotalocalcaneal arthrodesis has been described. We used a transfibular approach between the sural nerve and lateral branch of the superficial peroneal nerve. This permits excellent visualization of the ankle and subtalar joint so that the fusion can readily be achieved under the direct visualization. Eight ankle fusions and four tibiotalocalcaneal fusions were carried out through a transfibular approach and reviewed. The resected fibula was utilized for bone graft. The follow up period was from 12 to 22 months. Ages of the patients ranged from 27 to 58 years. The postoperative regimen was six weeks nonweight bearing in a short leg cast, followed by weight bearing in a short leg cast until union occurred. All cases were fused except one who had preoperative pyogenic arthritis of the ankle and hindfoot. The results were as follows; 1. The chance of incisional neuroma is lessened through incision between the sural nerve and superficial peroneal nerve. 2. The possibility of a skin slough is reduced by using full thickness skin flaps. 3. Excellent visualization of the ankle and subtalar joint is easily achieved. So, we believed that the transfibular approach for ankle and tibiotalocalcaneal arthrodesis is the excellent surgical approach.

산과적 합병증과 유전적 위험도가 정신분열증 환자의 뇌구조에 미치는 영향 : 전산화단층촬영 소견에 의한 연구

정영기,김정훈,Chung, Young Ki,Kim, Jung Hoon 대한생물정신의학회 1996 생물정신의학 Vol.3 No.2

The present study investigated the associations between CT measures and obstetric complications and family history of major mental illnesses. We had the hypothesis of diosthesis-stress model in the etiology of schizophrenia. We had the following findings. 1) Family history of major mental illnesses is inversely related to obstetric complications. 2) Prefrontal sulcal widening and family history of schizophrenia. are inversely related. 3) In female but not in male patients those with family history of schizophrenia tended to have less prefrontal sulcal widening and ventricular brain ratio. These results suggest that more genetic factors contribute to structural brain abnormalities in female than in male patients.

정신분열증 치료의 Augmentation Strategies

정영기,Chung, Young Ki 대한생물정신의학회 1998 생물정신의학 Vol.5 No.2

Antipsychotic drugs(APDs) have been effective to alleviate psychotic symptoms of schizophrenia. However, some schizophrenic patients do not respond to APDs. In addition to psychotic symptoms of schizophrenia, negative symptoms, excitement, violence, agitation, depression, and disorganization are frequently noted in patients with schizophrenia. Though APDs are the first line drugs for these symptoms, other drugs than APDs to augment the effects of APDs are efficacious for the treatment of these symptoms. Such augmenting drugs include benzodiazepines, anticonvulsants, antidepressants, lithium, and electroconvulsive therapy. These augmentation strategies can boost the effects of APDs or decrease the requirements of APDs, and consequently decrease the chance of the occurrence of side effects of APDs. Augmenting strategies are revewed for each class of drugs or treatment modality.

급성 위증 Anisakis 의 임상적 고찰

정영기 ( Young Ki Chung ),정원조 ( Won Cho Chung ),오기영 ( Ki Young Oh ),전승원 ( Seung Won Chun ),강순병 ( Soon Byung Kang ) 대한내과학회 1983 대한내과학회지 Vol.26 No.12

십이지장 폐색증을 보인 Choledochocele 1예

정영기(Young Ki Chung),서동룡(Dong Yong Suh),최호수(Ho Soo Choi),김용인(Yong Inn Kim),이우형(Woo Hyoung Lee) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.1

N/A Congenital cystic dilataion of the common bile duct(choledochal cyst) is a relatively rare anomaly. The etiology of this condition is unknown. The locacion, degree, and type of dilatation is variable. Type I anomaly in AlonsoLej classification is most common, and comprises about 80% of cases, The choledochocele(Type III) that we experienced, however, comprises 15% approximately. The classic triad of symptoms of this anomaly are abdominal pain, palpable abdominal mass, and jaundice. But nausea and vomiting are main symptoms in the choledochocele because it involves only the intraduodenal portion of the common bile duct, and causes the obstruction of the duodenal lumen. A intraduodenal mass is easily found by UGI contrast medium study or gastrofiberscopy, and ERCP & abdominal sonogram are helpful in the diagnosis of tbe choledochocele, which is confirmed by a surgical procedure. The choice of the treatment of congenital choledochal cyst is a operation. The choledochocele is treated by transduodenal excision of the cyst wall so as to create a wide opening into the duodenum.

비흡수성 봉합사에 의한 Marginal Ulcer 의 내시경적 관찰

정영기(Young Ki Chung),최호수(Ho Soo Choi),김용인(Yong Inn Kim),이우형(Woo Hyoung Lee),현명수(Myoung Soo Hyun),서동룡(Kong Yong Suh) 대한소화기학회 1985 대한소화기학회지 Vol.17 No.2

N/A During the last 2 years we observed by gastrofiberscopy 7 cases of marginal ulcers which were thought to be due to nonabsorbable suture material at the Dept. of Int. Med. In the Maryknoll Hospital. 1) The ages of the patients were from the second decade to the sixth decade and all were male. 2) Of the 7 cases of marginal ulcer due to nonabsorbable suture material, 5 cases were developed after duodenal ulcer surgery; 2 cases developed after gastric ulcer surgery. 3) The interval between the initial operation and the detection of the marginal ulcer due to nonabsorbable suture material was from 3 weeks to 8 months, and the average was 4 and a quarter months. 4) The chief complaint was epigastric pain and it seemed to be nonspecific. 5) With a gastrofiberscope we removed the nonabsorbable suture material in 5 cases. Among them follow-up endoscopic observation was possible in 3 cases, and we observed complete healing of the marginal ulcers within 2 months after the removal of nonabsorbable suture material. 6) Our conclusion is that marginal ulcers due to nonabsorbable suture material can be prevented by the use of absorbable suture material in gastric or duodenal ulcer surgery.

총담관확장 및 결석진단에 있어서의 초음파와 ERCP 의 비교분석

정영기(Young Ki Chung),서동룡(Dong Ryong Seo),장정표(Jeong Pyo Jang),주홍(sung Yub Yeo),여승엽(Hong Joo) 대한소화기학회 1987 대한소화기학회지 Vol.19 No.1

N/A ERCP was performed in 107 patients who underwent right upper quadrant sonography at Maryknoll Hospital in Pusan from Jan. 1985 to Feb. 1987. ERCP showed biliary tree appeared in 83 cases of the total 107 cases (78%). The time lapse between the performance of the ultrasound and ERCP did not exceed 7 days in 55 cases of the 83 cases mentioned above. These 55 cases make up this study population. In this study, we assessed the presence or absence of choledocholithiasis and the size of the common bile duct. The results are as follows: 1) Ultrasound was not accurate in the diagnosis (sensitivity, 41%) or exclusion (value of a negative study, 77%) of choledocholithiasis. 2) In the postcholecystectomy patient population, ultrasound assessment of biliary duct size is not a useful predictor of biliary disease (value of a positive diagnosis, 40%). As a conclusion, when biliary diseases are suspected, especially for syptomatic postcholecystectomy patients, we recommand that as the diagnostic modality ERCP as well as ultrasound should be performed necessarily.

영화 〈빵과 장미〉에 나타난 미국의 외국인 노동자에 대한 철학적 분석

정영기(Jeong, Young-Ki),김충현(KIm, Chung-Hyun) 강원대학교 인문과학연구소 2013 인문과학연구 Vol.0 No.36

본 논문은 영화 〈빵과 장미〉의 내용과 역사적 배경을 살펴본 다음 영화에 대한 철학적 분석을 시도하면서 우리가 나아가야 할 방향을 모색해본다. 〈빵과 장미〉는 ‘Justice for Janitor’라는 구호아래 전미서비스노조(SEIU)가 벌인 비정규노동자의 성공적인 조직화 운동을 배경으로, 멕시코 이주노동자의 억압받는 생활과 그것을 극복하고자 하는 투쟁을 담고 있다. 본 논문은 푸코의 권력이론과 레비나스의 타자이론을 활용하여 영화의 내용을 분석하고자 한다. 푸코는 권력이 사회 전체를 관통하는 모세혈관처럼 편재해 있고, 지배자는 순종적이고 자신들의 이상에 부합하는 피지배계층을 양산하기 위해 다양한 방법들을 사용한다고 주장한다. 영화에서 지배자는 감시와 처벌이라는 방법으로 청소노동자들을 관리하고 지배하면서 권력구조를 유지한다. 그러나 권력으로 통제하면 노동자들의 저항과 반항이 있기 마련인데, 영화에서 청소노동자들은 노동운동가 샘을 중심으로 조합을 만들어 연대하면서 임금상승과 처우개선 등의 결과를 얻어낸다. 그리고 레비나스의 타자이론을 활용하여 작업복을 입으면 노동자들이 투명인간이 된다는 작업복이론을 살펴본다. 우리나라의 외국인 노동자 문제는 심각한 사회문제로 등장하기 시작했다. 외국인 노동자들의 인권을 보호해주어야 하지만 그들이 우리의 노동시장을 잠식하고 있는 것 또한 사실이다. 이러한 때에 외국인 노동자 문제를 해결하기 위해서는, 사회 전반적으로 외국인 노동자들을 공정하게 대우하고 그들의 인권을 보장하는 분위기를 조성해야 하며, 국가적으로는 투명한 외국인 인력제도를 통해 외국 인력의 편법적 고용이나 불법체류를 억제하여 외국 인력 유입으로 말미암은 사회적 비용을 최소화하고 국민경제적 편익을 극대화해야 된다고 생각한다. On this article, the goal is to get the implications(lessons) from American Alien Workers Policy through reviewing the movie “Bread and Roses(2000)” related with the Hispanic. The movie, “Bread and Roses” is a drama film directed by Ken Loach. It is based on the “Justice for Janitors” campaign of the Service Employees International Union. The plot deals with the struggle of poorly paid janitorial workers in Los Angeles and their fight for better working conditions and the right to unionize. This article used Michel Paul Foucault’s “Discipline and Punish: The Birth of the Prison” to research the movie. Like the sovereign use the disciplines, the obligations and the taboo to make subordinates the obedient, in the movie, Hispanic Alien Workers were totally ignored for the right to unionize, and they live like invisible people. Today, the alien workers problems is becoming the great social issue in our country. We have to protect their human rights, but we have to think that immigrant workers could be threat to Korea. Therefore, Korea should persue two good values, namely, “Protection of Immigrant Workers Rights” and “National Stability.” From the humanitarian perspective, Korea should treat them equally and guarantee their rights as much as possible. At the same time, Korea should restrict illegal employment and illegal stay through the transparent labor force system to stabilize the life of the nation.

정상 MRI 소견을 보이는 외상성 뇌손상 환자에서 국소뇌혈류량의 이상

김남희,정영기,Kim, Nam-Hee,Chung, Young-Ki 대한생물정신의학회 2002 생물정신의학 Vol.9 No.2

Background & Purpose:Neuropsychological disorders after traumatic brain injury(TBI) are poorly correlated with structural lesions detected by structural neuroimaging techniques such as computed tomography(CT) scan or magnetic resonance imaging(MRI). It is well known that patients with TBI have cognitive and behavioral disorders even in the absence of structural lesions of the brain. This study investigated whether there are abnormalities of regional cerebral blood flow(rCBF) in TBI patients without structural abnormality on MRI, using technetium 99m ethyl cysteinate dimer(Tc-99m-ECD) single photon emission computed tomography(SPECT) scans. Materials and Methods:Twenty-eight TBI patients without structural abnormality on MRI(mild, n=13/moderate, n=9/severe, n=6) and fifteen normal controls were scanned by SPECT. A voxel-based analysis using statistical parametric mapping(SPM) was performed to compare the patients with the normal controls. Results:rCBF was reduced in the right uncus and the right lateral orbitofrontal gyrus in the TBI patients. However, no increase of rCBF was noted in the patients in comparison to the normal controls. Conclusions:These results suggest that the TBI patients, even in the absence of structural lesion of the brain, may have dysfunction of the brain, particularly of the orbitofrontal and anterior pole of the temporal cortex. They also suggest that SPECT can be a useful method to identify brain dysfunctions in combination with structural brain imaging and neuropsychological tests.

유문륜궤양의 임상적 관찰

김영조(Young Jo Kim),정영기(Young Ki Chung),이병욱(Byung Wook Lee),이상룡(Sang Ryong Lee),최동준(dong Joon choi) 대한소화기학회 1986 대한소화기학회지 Vol.18 No.2

A clinical analysis ivas carried out on 46 cases of pyloric channel ulcers collected from 4,565 persons who had taken gastrofiberscopic examinations from Maich, 1981 to Fchruary, 1986 at the 1)Department of Internal Medicine in the Maryknoll hospital. The results obtained were as follows: 1) Pyloric channel ulcer devloped in 3.8% of incidence from all cases of peptic ulcer. 2) The male to female ratio was 2.5:1. Those in the 4th decades were the most frequently observed age group and the average was 46.2 years of age. 3) The most frequent complaint was upper ahdominal pain with a rate of 69.6% and the next came indigestion, nausea and vomiting, belching, bloating in order. weight loss was in minority (10.9). 4) The most common site of channel ulcer vas anterior wall with a rate of 59.5% and the frequency of the other sites were lesser curvature, greater curvature, posterior wall in order. 5) Considering the healing process of ulcer, the most frequent stage was active stage, the next came healing and scarring stage in order. 6) The longitudinal diameter of active channel ulcer was below 5mm with 68.8% of incidence and almost ones were l0mm or less. The majority of those were round shape. 7) In 45.7% of all cases the channel ulcer did not cambine ulcers on the other sites and 37.0% of the channel ulcers combined gastric ulcer.